| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,547 |
1,532 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,021 |
1,004 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,138 |
1,114 |
$87K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,021 |
3,385 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,242 |
3,883 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,171 |
4,669 |
$60K |
| 99429 |
|
849 |
840 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
490 |
466 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
211 |
208 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,531 |
1,056 |
$14K |
| 90461 |
|
1,987 |
1,738 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,473 |
717 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,006 |
983 |
$3K |
| 97802 |
|
377 |
375 |
$2K |
| 97803 |
|
1,327 |
1,302 |
$2K |
| 87807 |
|
280 |
260 |
$1K |
| 99205 |
Prolong outpt/office vis |
30 |
25 |
$923.12 |
| 92587 |
|
626 |
614 |
$203.04 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$132.95 |
| 90686 |
|
1,230 |
1,213 |
$60.45 |
| 90651 |
|
27 |
25 |
$0.00 |
| 90647 |
|
444 |
440 |
$0.00 |
| 90723 |
|
373 |
370 |
$0.00 |
| 90677 |
|
67 |
65 |
$0.00 |
| 96127 |
|
46 |
45 |
$0.00 |
| 90697 |
|
133 |
130 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90633 |
|
387 |
383 |
$0.00 |
| 90670 |
|
812 |
799 |
$0.00 |
| 90681 |
|
282 |
277 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |